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Keywords:

  • binge eating disorder;
  • bulimia nervosa;
  • purging disorder;
  • extreme weight-control behaviors

Abstract

Objective and Method

The prior occurrence of regular extreme weight-control behaviors was examined in a community sample of women (n = 27) with binge eating disorder (BED) or subthreshold BED.

Results

Approximately two thirds of participants (65.4%) reported the prior use of either purging at least weekly or nonpurging behaviors three or more times per week, for a period of 3 months or more, whereas 38.5% of participants reported either purging at least twice weekly or nonpurging behaviors five or more times per week. Comparatively few participants (11.1%) had ever met formal diagnostic criteria for BN.

Discussion

Considerable overlap be-tween disorders characterized by binge eating in the absence of extreme weight-control behaviors and those characterized by extreme weight-control behaviors in the absence of binge eating may be apparent when a longitudinal perspective is taken. Caution needs to be exercised in drawing conclusions concerning the extent of this overlap based on any one operational definition of the term “regular extreme weight-control behaviors”. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010